Provider First Line Business Practice Location Address:
229 PARRISH STREET
Provider Second Line Business Practice Location Address:
SUITE 250
Provider Business Practice Location Address City Name:
CANANDAIGUA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14424
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-412-6967
Provider Business Practice Location Address Fax Number:
315-462-6201
Provider Enumeration Date:
07/27/2006